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Showing posts with the label Kawasaki disease

Infantail Kawasaki with Coronary Arteries Aneurysm-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction Kawasaki disease is an acute vasculitis of childhood that predominantly affects the coronary arteries [ 1 - 3 ]. The etiology of Kawasaki disease remains unknown [ 4 ], although an infectious agent is strongly suspected based on clinical and epidemiologic features [ 5 , 6 ]. Most children who are treated recover from the disease without long-term problems [ 1 , 5 ]. Other need close follow up and special treatment by Aspirin, IVIG and sometimes Steroids [ 7 - 9 ]. The disease is most common in children ages 1 to 2 years [ 2 , 4 ] and is less common in children older than age 8 or in infants [ 10 ]. We are presenting 4 months old girl with Kawasaki disease complicated with coronary arteries ectasia and aneurysm which is unusual in this age. Case Report 4 months old girl presented to emergency department with fever not responding to or...

Super-Giant Coronary Aneurysm Secondary to Atypical Kawasaki Disease in an 11-Year Old-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Background: Kawasaki Disease is an acute febrile illness of early childhood. It is seen worldwide with the highest incidence occurring in Asian children under 5 years of age and in the male gender. Major sequelae involve the coronary arterial system, leading to aneurysms and occlusions. Case: This is a case of an 11-year-old male, who was diagnosed with Atypical Kawasaki Disease in 2007, for which Gamma Globulin and Aspirin were given. Diagnostic imaging showed severe three-vessel coronary artery disease with chronic total occlusion of the right coronary and left mid-circumflex artery and an aneurysmal dilation of the proximal left anterior descending artery measuring 12.4x11.3x25.5mm. He is the first paediatric patient in the Philippines who underwent quadruple coronary bypass and grafting. Conclusion: This case features the significance of early diagnosis and treatment of...